Once bacteria enter a joint space it produces a purulent fluid that induces an acute inflammatory response. The body's inflammatory cells, although aids in eradicating the bacteria, produces enzymes that also damage extracellular cartilage matrix, synovium, and adjacent bone in a relatively short period of time.1,2 Because adult cartilage has poor regenerative capabilities, this process leads to irreversible damage and chronic joint dysfunction.4 Studies have found that signs of early joint damage can be found within hours following joint infection.1, 5 This is true even if antibiotic therapy is started within 24 hours of infection. Also, delay in initiation of treatment has repeatedly found to be a major determinant of poor outcome.6 Thus, it is well accepted that early drainage of purulent material in addition to antibiotics is imperative for preventing irreparable articular damage.4 However, the best method for doing so has yet to be determined.